Individual
REYNETTE BEYNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5916 ANAHEIM AVE NE STE A, ALBUQUERQUE, NM 87113-1894
(505) 291-6314
Mailing address
5916 ANAHEIM AVE NE STE A, ALBUQUERQUE, NM 87113-1894
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CMH0212411
NM
101YP2500X
Professional Counselor
Primary
CTB20240197
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36075035
—
NM
Enumeration date
11/20/2019
Last updated
03/20/2024
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